# M&M BARKLEY LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Peppertree Private Homecare
- **Organization subpart:** No

## Provider details

- **NPI number:** 1427827534
- **Authorized official:** SHUNDREKA JUJUAN BARKLEY NP (OPERATOR)
- **Authorized official phone:** (404) 828-0454

## Contact information

- **Practice address:** 261 WHISTLE WAY, LOCUST GROVE, GA 30248-2065
- **Practice address phone:** (404) 665-7892
- **Mailing address:** 261 WHISTLE WAY, LOCUST GROVE, GA 30248-2065
- **Mailing address phone:** (404) 665-7892

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | — |
| 251J00000X | Nursing Care Agency | — | NULL | — |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 12/29/2023
- **Last updated:** 10/28/2024